| The Columbus Dispatch
Gov. Mike DeWine’s administration has unveiled plans for a long-awaited overhaul of the $28 billion Medicaid health-care program covering more than 3 million poor and disabled Ohioans.
The Ohio Department of Medicaid seeks to update its managed-care setup with a focus on wellness and improving the health of beneficiaries, meeting the needs of children with complex needs, and reducing administrative hurdles for patients and health-care providers.
The stakes are huge: The five current managed-care organizations received a combined total of more than $15 billion from the state.
It was the managed-care organizations that hired pharmacy benefit managers, which have grown controversial in Ohio during recent years for charging excessive rates and under-reimbursing pharmacies. But the Medicaid department, under a measure state lawmakers passed in July 2019, is moving to a single PBM next year hired by the state agency to keep closer watch over